Insomnia, Internal Medicine FAQ - Page 4

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Understanding Symptoms: Swelling, Headaches, and Insomnia in Adults

Generalized edema, headache (dizziness), insomnia, etc? Hello, my mother is 43 years old and has been feeling unwell lately, experiencing symptoms such as insomnia, headaches (dizziness), and sometimes waking up in the morning with generalized edema. During a previous health chec...


Dr. Zhao Chongliang Reply:
There are many causes of edema, including common kidney diseases (renal failure, nephrotic syndrome), heart diseases (heart failure), liver diseases (cirrhosis), endocrine disorders (hypothyroidism, hyperadrenalism, menstruation), systemic malnutrition, poor blood circulation, an...

[Read More] Understanding Symptoms: Swelling, Headaches, and Insomnia in Adults


Understanding Serum Separation: Boosting Immunity for Better Health

The serum is incorrect? Dr. Zheng, I noticed that my blood shows a separation of water and plasma (I hope this description is correct). After drawing blood and letting it sit in a cup for a while, it forms two layers: the upper layer looks like water, and the lower layer is plasm...


Dr. Zheng Shuxing Reply:
After standing or centrifugation, everyone's blood can be separated into two layers: the upper layer is a light yellow serum, and the lower layer consists of red blood cells. Between these two layers, there is a thin, pale white layer (known as the buffy coat). Therefore, yo...

[Read More] Understanding Serum Separation: Boosting Immunity for Better Health


Understanding Complex Symptoms: Seeking Clarity on Multiple Health Issues

Please clarify? Hello, Doctor. I learned from the internet that online consultations are available here, so I took the liberty to seek your advice and express my highest respect for your dedication to helping others. I have been troubled by several symptoms for a long time, but d...


Dr. Yang Hongzhi Reply:
You have a family history of thyroid disease and exhibit some symptoms consistent with hyperthyroidism (such as goiter, exophthalmos, and weight loss). Thyroid function needs to be evaluated, and it would also be advisable to check for diabetes. You may consider seeing a speciali...

[Read More] Understanding Complex Symptoms: Seeking Clarity on Multiple Health Issues


Understanding Thyroid Dysfunction: Symptoms, Diagnosis, and Treatment Options

Hypothyroidism? Hello Dr. Yang: Initially, during a physical examination, it was found that the right side of my thyroid was enlarged, but there were no visible abnormalities, and there is no family history of thyroid disease. I have a constitution that makes it difficult for me ...


Dr. Yang Hongzhi Reply:
Your symptoms are likely unrelated to the thyroid. If they are causing distress, medication may be considered to alleviate the symptoms. Using thyroid hormone to reduce the size of the right thyroid lobe may not have a significant effect. If thyroid function is normal and the rig...

[Read More] Understanding Thyroid Dysfunction: Symptoms, Diagnosis, and Treatment Options


Understanding Your Symptoms: A Guide to Chest Pain and Anxiety

I want to find relief. How can I resolve this? Hello, doctor! I am currently serving in the military, and I have been troubled by chest tightness, migraines, and abdominal bloating for many years. I had an abdominal ultrasound, and the doctor said everything was fine, so I tried ...


Dr. Li Huixiong Reply:
Hello: It is truly hard to imagine that at your age, you are experiencing so many issues that typically arise later in life. Youth should be filled with hope and joy; even if there are worries, they should revolve around romantic relationships or friendships. However, you seem to...

[Read More] Understanding Your Symptoms: A Guide to Chest Pain and Anxiety


Understanding the Risks of High and Low Blood Pressure in Young Adults

Is high or low blood pressure dangerous? Dr. Chen: Hello! I previously underwent a physical examination for military service at Taipei Provincial Hospital, and later they notified me to go for a re-examination! The department for my re-examination is (blood pressure xx), and the ...


Dr. Zhao Chongliang Reply:
The initial consultation is the first medical visit, and typically, we do not treat abnormal blood pressure during this visit, as there are many factors that can influence blood pressure, such as time zone changes (lower in the morning, higher in the evening), eating, exercise, a...

[Read More] Understanding the Risks of High and Low Blood Pressure in Young Adults


Understanding and Preventing Painful Oral Ulcers: Expert Tips

Mouth ulcers can often be very painful? Hello Dr. Zhao, I often experience cracks in my oral cavity, and it hurts a lot when I eat or drink. How can I prevent this from happening again? I also applied Guangdong herb powder, but it still hurts. I really want to know if there are e...


Dr. Zhao Chongliang Reply:
If there are frequent ulcers in the oral cavity, it is likely recurrent aphthous stomatitis, also known as stubborn oral ulcers or canker sores. The exact cause is currently unclear, but it may be related to individual constitution. Other factors that can easily trigger recurrent...

[Read More] Understanding and Preventing Painful Oral Ulcers: Expert Tips


Understanding Swollen Lymph Nodes: Causes and Concerns for Your Health

Swollen lymph nodes in the neck? Last year, I had to work late nights to finish an assignment, and as a result, a lymph node in my neck became swollen, measuring over a centimeter. After seeing a doctor and taking medication, it took about two to three weeks for it to go down. Re...


Dr. Zeng Guosen Reply:
Hello! Lymphadenopathy can be classified as benign or malignant. Benign lymphadenopathy is generally further divided into those caused by infections or those resulting from partial immune system issues. Based solely on the information provided by online users, it is difficult to ...

[Read More] Understanding Swollen Lymph Nodes: Causes and Concerns for Your Health


Living with Advanced Liver Cancer: Seeking Hope and Treatment Options

Liver cancer Hello: I am a carrier of liver cancer (inherited from my mother since childhood). I have undergone radiation therapy and taken a certain medication that was once banned (all treatments were at Kaohsiung Chang Gung Memorial Hospital). My condition has now worsened to ...


Dr. Li Huixiong Reply:
I am sorry to hear about your illness, but I must inform you of this fact: liver cancer remains one of the top three causes of death among both men and women in our country. The causes of liver cancer primarily stem from complications following infections with hepatitis B or C vi...

[Read More] Living with Advanced Liver Cancer: Seeking Hope and Treatment Options


Is Daily Green Tea Consumption Harmful to Your Health?

Is drinking green tea every day harmful to the body? Hello Doctor: I drink green tea every day, but I'm not sure if drinking it regularly has any negative effects on my health. In what situations or for what types of patients should green tea be avoided? Are there any foods ...


Dr. Zhao Chongliang Reply:
Hello! Green tea has three types of side effects. One affects the absorption of iron from food, so it is not recommended to drink it during or immediately after meals. However, if the food contains a large amount of vitamin C or meat, it can counteract the effect of green tea on ...

[Read More] Is Daily Green Tea Consumption Harmful to Your Health?


Struggling with Sleep: A 38-Year-Old's Battle with Insomnia

Unable to sleep at night and unable to sit still during the day? Dear Dr. Chen, I have a wonderful sister who is 38 years old this year. She has been unable to fall asleep on her own at night and relies on medication to sleep for only two or three hours. During the day, while ot...


Dr. Chen Guifeng Reply:
Insomnia has many causes, most of which are psychological or mental factors. If it is severe, it must be treated with psychotherapy by a psychiatrist.

[Read More] Struggling with Sleep: A 38-Year-Old's Battle with Insomnia


Understanding Thyroid Resistance: Symptoms, Severity, and Treatment Options

Thyroid autoantibodies What are the symptoms of thyroid autoimmunity? Are there different degrees of autoimmunity? How can it be managed and treated? Thank you.


Dr. Wang Zhihui Reply:
1. The most common symptoms of hyperthyroidism include palpitations, tremors, heat intolerance, insomnia, increased anxiety, and significant weight loss over a short period. A minority of individuals may also present with exophthalmos. 2. Due to variations in the severity of symp...

[Read More] Understanding Thyroid Resistance: Symptoms, Severity, and Treatment Options


Understanding Elevated Mercury Levels in Blood: Causes and Solutions

Heavy metals in the blood Recently, our company conducted a health examination, and my test report indicated that the mercury level in my blood exceeds the standard. However, there are no hazardous factors present in the work environment. Among the 50 individuals examined, over 3...


Dr. Tang Jieru Reply:
In Taiwan, mercury poisoning is commonly caused by the use of traditional Chinese medicine such as cinnabar (HgS), calomel (HgCl2), and Ba Bao San. The laboratory diagnostic criteria are: blood mercury levels exceeding 10 mg/dL, or 24-hour urinary mercury levels exceeding 0.05 mg...

[Read More] Understanding Elevated Mercury Levels in Blood: Causes and Solutions


Confused About Which Specialist to See for Persistent Illness?

I don't know which department to visit? Cold. Weakness in the limbs. Headache. Insomnia. It has been over ten days. I have visited several hospitals without any improvement. I don't know what the problem is.


Dr. Ke Zhengchang Reply:
Hello: It is recommended that you visit an internal medicine or family medicine specialist for a detailed examination of your blood and blood pressure to determine the underlying cause and treatment.

[Read More] Confused About Which Specialist to See for Persistent Illness?


Managing Mitral Valve Prolapse: Tips for Symptoms and Weight Gain

Regarding the issue of valve prolapse? Dear Doctor: Regarding some medical conditions (Anxiety, Mitral Valve Disease, VBI), I experienced dizziness and discomfort at the beginning of last year, and I underwent a cardiac ultrasound. The doctor mentioned that I might experience pal...


Dr. Li Huixiong Reply:
Anxiety refers to a state of worry or unease. Mitral valve disease pertains to conditions affecting the heart's mitral valve. As for VBI, its abbreviation is unclear. From your words, one can infer the busyness and stress you are experiencing, which is a common phenomenon in...

[Read More] Managing Mitral Valve Prolapse: Tips for Symptoms and Weight Gain


Understanding Heart Palpitations and Sleep Issues: A Guide

Heart... Thyroid Experiencing a strong heartbeat that makes it difficult to fall asleep, often feeling sleepy... being able to sleep for several hours a day yet still feeling tired, with the heartbeat sometimes being very noticeable and at times feeling like I can't catch my...


Dr. Ke Zhengchang Reply:
Hello Miss Chang Wan-rong; if you suspect that hyperthyroidism is causing symptoms such as rapid heartbeat and insomnia, it is recommended to visit a hospital and consult an endocrinologist for a blood test.

[Read More] Understanding Heart Palpitations and Sleep Issues: A Guide


Is It a Heart Problem? Understanding Symptoms and Seeking Further Testing

Is this a heart problem? Hello Doctor: I previously had an electrocardiogram (ECG) at the hospital, which lasted only one to two minutes. The doctor diagnosed me with a slight arrhythmia and said it was nothing to worry about. However, I felt that my condition during the ECG was ...


Dr. Ke Zhengchang Reply:
Young males can occasionally experience arrhythmias, but most are benign and transient. Avoiding smoking, alcohol, coffee, and tea, as well as maintaining a regular routine, is crucial. If symptoms persist and cause discomfort, a 24-hour Holter monitor can be arranged. Thyroid fu...

[Read More] Is It a Heart Problem? Understanding Symptoms and Seeking Further Testing


Understanding Hyperthyroidism: Symptoms, Treatment, and Management Options

Hyperthyroidism My husband is 40 years old and was recently diagnosed with hyperthyroidism. He has been taking the medication prescribed by the doctor for about two weeks. I would like to know if individuals with this condition typically experience rapid weight loss and weakness,...


Dr. Zeng Fenyu Reply:
Hyperthyroidism can present with various symptoms such as weight loss, palpitations, tremors, diarrhea, and insomnia. After treatment, symptoms can improve, but regardless of whether the treatment is medication, surgery, or radioactive iodine therapy, monitoring is still necessar...

[Read More] Understanding Hyperthyroidism: Symptoms, Treatment, and Management Options


Can Hyperthyroidism Lead to Depression? Understanding the Connection

Can hyperthyroidism lead to complications such as depression? Hello! I started taking medication for hyperthyroidism in February of last year. After treatment, with regular blood tests and ultrasound examinations, my doctor believes that the condition has been effectively control...


Dr. Zeng Fenyu Reply:
It is recommended that you check your thyroid function while also consulting a psychiatrist. If your thyroid function is normal, it should not cause any other physiological or psychological conditions, and surgery may not necessarily resolve your issues.

[Read More] Can Hyperthyroidism Lead to Depression? Understanding the Connection


How to Manage Insomnia Caused by Energy Drinks and Caffeine

Energy drinks Hello, Doctor Hsieh. I have been experiencing several issues. Whenever I drink tea, coffee, or energy drinks, I suffer from severe insomnia, sometimes not being able to sleep for three to four days. Is there a solution for this? If I have already consumed these beve...


Dr. Zeng Fenyu Reply:
Tea and coffee contain caffeine, which can stimulate the sympathetic nervous system and may lead to insomnia. If your body is not suited for it, it is advisable not to consume these beverages.

[Read More] How to Manage Insomnia Caused by Energy Drinks and Caffeine


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